Effects of virtual reality-based planar motion exercises on upper extremity function, range of motion, and health-relate
- PDF / 1,208,219 Bytes
- 13 Pages / 595.276 x 790.866 pts Page_size
- 88 Downloads / 199 Views
(2019) 16:122
RESEARCH
Open Access
Effects of virtual reality-based planar motion exercises on upper extremity function, range of motion, and healthrelated quality of life: a multicenter, singleblinded, randomized, controlled pilot study Mina Park1, Myoung-Hwan Ko2,3, Sang-Wook Oh1, Ji-Yeong Lee1, Yeajin Ham1, Hyoseok Yi4, Younggeun Choi4,5, Dokyeong Ha4 and Joon-Ho Shin1*
Abstract Background: Virtual reality (VR)-based rehabilitation is considered a beneficial therapeutic option for stroke rehabilitation. This pilot study assessed the clinical feasibility of a newly developed VR-based planar motion exercise apparatus (Rapael Smart Board™ [SB]; Neofect Inc., Yong-in, Korea) for the upper extremities as an intervention and assessment tool. Methods: This single-blinded, randomized, controlled trial included 26 stroke survivors. Patients were randomized to the intervention group (SB group) or control (CON) group. During one session, patients in the SB group completed 30 min of intervention using the SB and an additional 30 min of standard occupational therapy; however, those in the CON group completed the same amount of conventional occupational therapy. The primary outcome was the change in the Fugl–Meyer assessment (FMA) score, and the secondary outcomes were changes in the Wolf motor function test (WMFT) score, active range of motion (AROM) of the proximal upper extremities, modified Barthel index (MBI), and Stroke Impact Scale (SIS) score. A within-group analysis was performed using the Wilcoxon signed-rank test, and a between-group analysis was performed using a repeated measures analysis of covariance. Additionally, correlations between SB assessment data and clinical scale scores were analyzed by repeated measures correlation. Assessments were performed three times (baseline, immediately after intervention, and 1 month after intervention). Results: All functional outcome measures (FMA, WMFT, and MBI) showed significant improvements (p < 0.05) in the SB and CON groups. AROM showed greater improvements in the SB group, especially regarding shoulder abduction and internal rotation. There was a significant effect of time × group interactions for the SIS overall score (p = 0.038). Some parameters of the SB assessment, such as the explored area ratio, mean reaching distance, and smoothness, were significantly associated with clinical upper limb functional measurements with moderate correlation coefficients. Conclusions: The SB was available for improving upper limb function and health-related quality of life and useful for assessing upper limb ability in stroke survivors. (Continued on next page)
* Correspondence: [email protected] 1 Department of Rehabilitation Medicine, National Rehabilitation Center, Ministry of Health and Welfare, 58, Samgaksan-ro, Gangbuk-gu, Seoul, Republic of Korea Full list of author information is available at the end of the article © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creat
Data Loading...
